世界卫生组织多模式手卫生促进策略对针灸医生手卫生依从性的影响

Impact of World Health Organization multimodal hand hygiene improvement strategy on hand hygiene compliance among acupuncturists

目的了解世界卫生组织(World Health Organization,WHO)多模式手卫生促进策略对针灸医生手卫生依从性的影响。方法 2015年9月—2016年8月选择西安市中医医院有针灸治疗项目的科室(针灸科、脑病科、骨伤科)中开展针灸治疗的医生,依照WHO多模式手卫生促进策略制定综合干预措施,对针灸医生进行干预,对比干预前后手卫生依从率、正确率及手卫生知识得分,评价干预措施效果。结果干预后的针灸医生手卫生依从率、正确率和手卫生知识得分分别为72.34%、51.70%和(98.62±2.92)分,均比干预前[51.07%、19.86%和(81.90±2.86)分]有所提高(P<0.05);干预后,在"接诊患者之前""接诊患者之后""针灸操作之前""针灸行针之前"4个手卫生指征依从性均较干预前有明显提高(P<0.05)。结论运用WHO多模式手卫生促进策略干预措施可有效提高针灸医生手卫生依从性。

Objective To understand the effect of World Health Organization（WHO） multimodal hand hygiene improvement strategy on hand hygiene compliance among acupuncturists. Methods All the acupuncturists in departments （Department of Acupuncture, Department of Encephalopathy, Department of Orthopedics and Traumatology） with acupuncture programs in Xi’an Hospital of TCM were chosen in this study between September 2015 and August 2016. Based on the WHO multimodal hand hygiene improvement strategy, comprehensive measures were regulated among acupuncturists. Hand hygiene compliance and accuracy, and hand hygiene knowledge score were compared before and after the strategy intervention. Then, the effects of key strategies were evaluated. Results Overall hand hygiene compliance rate, accuracy and knowledge scores increased from 51.07%, 19.86% and 81.90±2.86 before intervention to 72.34%, 51.70%, and 98.62±2.92 after intervention （P〈0.05）. Hand hygiene compliance rates also increased in various occasions such as before contacting the patient, after contacting the patient, before acupuncture treatment, and before acupuncture needle manipulation （P〈0.05）. Conclusion Hand hygiene compliance in acupuncturists can be significantly improved by the implementation of WHO multimodal hand hygiene improvement strategy.